Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SUMMA PHYSICIANS LLC

NPI: 1679742480 · AKRON, OH 44304 · Clinical Cardiac Electrophysiology Physician · NPI assigned 02/26/2008

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CARSON, WENDY controls 20+ related entities in our dataset. Read more

$2.18M
Total Medicaid Paid
185,417
Total Claims
170,060
Beneficiaries
42
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCARSON, WENDY (MANAGER, PAYER ENROLLMENT)
NPI Enumeration Date02/26/2008

Related Entities

Other providers sharing the same authorized official: CARSON, WENDY

ProviderCityStateTotal Paid
SUMMA PHYSICIANS LLC AKRON OH $3.69M
SUMMA PHYSICIANS LLC AKRON OH $2.28M
SUMMA PHYSICIANS LLC AKRON OH $2.11M
SUMMA PHYSICIANS LLC AKRON OH $1.79M
SUMMA PHYSICIANS LLC AKRON OH $1.42M
SUMMA PHYSICIANS LLC AKRON OH $1.40M
SUMMA PHYSICIANS LLC UNIONTOWN OH $1.12M
SUMMA PHYSICIANS LLC TALLMADGE OH $1.05M
SUMMA PHYSICIANS LLC AKRON OH $1.01M
SUMMA PHYSICIANS LLC AKRON OH $996K
SUMMA PHYSICIANS LLC AKRON OH $853K
SUMMA PHYSICIANS LLC AKRON OH $828K
SUMMA PHYSICIANS LLC AKRON OH $798K
SUMMA PHYSICIANS LLC CUYAHOGA FALLS OH $767K
SUMMA PHYSICIANS LLC AKRON OH $711K
SUMMA PHYSICIANS LLC AKRON OH $690K
SUMMA PHYSICIANS LLC AKRON OH $639K
SUMMA PHYSICIANS LLC WADSWORTH OH $505K
SUMMA PHYSICIANS LLC AKRON OH $433K
SUMMA PHYSICIANS LLC AKRON OH $417K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 28,006 $285K
2019 26,849 $304K
2020 29,651 $287K
2021 41,384 $392K
2022 24,951 $279K
2023 19,818 $345K
2024 14,758 $282K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 97,780 88,449 $651K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 14,049 12,843 $564K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 15,238 14,471 $541K
93000 15,526 14,234 $163K
93295 2,447 2,331 $74K
93296 5,159 4,909 $58K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 553 484 $38K
93294 1,575 1,511 $22K
93272 1,130 1,057 $22K
99233 Prolong inpt eval add15 m 340 179 $8K
99232 Subsequent hospital care, per day, moderate complexity 407 266 $7K
99215 Prolong outpt/office vis 102 80 $5K
93016 256 222 $4K
93227 188 180 $4K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 122 116 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 55 51 $2K
93018 249 222 $2K
93298 87 82 $2K
93264 112 82 $1K
93458 12 12 $1K
93248 58 52 $880.93
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 58 54 $789.37
93244 48 47 $784.56
99222 Initial hospital care, per day, moderate complexity 26 26 $702.00
93970 19 13 $399.13
93971 25 12 $313.37
93325 82 81 $203.22
99152 23 12 $146.64
93321 16 16 $72.28
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 10,427 9,891 $0.01
G8484 Influenza immunization was not administered, reason not given 4,075 3,858 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 5,635 5,284 $0.00
4004F 162 152 $0.00
2022F 158 140 $0.00
G8598 Aspirin or another antiplatelet therapy used 287 265 $0.00
4040F 49 49 $0.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 16 16 $0.00
3017F 3,482 3,234 $0.00
1036F 5,023 4,737 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 286 266 $0.00
1123F 63 62 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 12 12 $0.00